Tex. Ins. Code § 1301.0045 · Subchapter A. GENERAL PROVISIONS
CONSTRUCTION OF CHAPTER.
Text — Current through the 89th 2nd Called Legislative Session, 2025
(a) Except as provided by Sections 1301.0046 and 1301.0047, this chapter may not be construed to limit the level of reimbursement or the level of coverage, including deductibles, copayments, coinsurance, or other cost-sharing provisions, that are applicable to preferred providers or, for plans other than exclusive provider benefit plans, nonpreferred providers.
(b) Except as provided by Sections 1301.0052, 1301.0053, 1301.155, 1301.164, and 1301.165, this chapter may not be construed to require an exclusive provider benefit plan to compensate a nonpreferred provider for services provided to an insured.
Notes and commentary — not statutory text
History
Added by Acts 2005, 79th Leg., Ch. 1221 (H.B. 1030), Sec. 1, eff. September 1, 2005.
Amended by:
Acts 2011, 82nd Leg., R.S., Ch. 288 (H.B. 1772), Sec. 6, eff. September 1, 2011.
Acts 2019, 86th Leg., R.S., Ch. 1342 (S.B. 1264), Sec. 1.05, eff. September 1, 2019.
Acts 2023, 88th Leg., R.S., Ch. 981 (S.B. 2476), Sec. 6(a), eff. September 1, 2023.
Acts 2023, 88th Leg., R.S., Ch. 981 (S.B. 2476), Sec. 6(b), eff. September 1, 2025.
Acts 2025, 89th Leg., R.S., Ch. 787 (S.B. 926), Sec. 2, eff. September 1, 2025.
Source of truth
- Edition
- Current through the 89th 2nd Called Legislative Session, 2025
- Official file
- https://statutes.capitol.texas.gov/Docs/IN/htm/IN.1301.htm
- Text hash
- sha256 da86173622de6ef98a64b079165b9c4ed45671846d37ba2d251eb260c9938cd8
- Composed by
- compose_tx.py 2026-10-05: the Legislative Council's chapter files read in document order; verify_tx.py's independent reading (lxml DOM walk) agrees character for character
This section cites
Provisions in this library that the text above cites, as it prints each citation. A range cited as “ss. 61.13-61.16” links its first and last provisions.
Insurance Code
- Tex. Ins. Code § 1301.0046COINSURANCE REQUIREMENTS FOR SERVICES OF NONPREFERRED PROVIDERS.Printed as Sections 1301.0046 and 1301.0047
- Tex. Ins. Code § 1301.0047INCENTIVES TO USE CERTAIN PHYSICIANS OR HEALTH CARE PROVIDERS.Printed as Sections 1301.0046 and 1301.0047
- Tex. Ins. Code § 1301.0052EXCLUSIVE PROVIDER BENEFIT PLANS: REFERRALS FOR MEDICALLY NECESSARY SERVICES.Printed as Sections 1301.0052, 1301.0053, 1301.155, 1301.164, and 1301.165
- Tex. Ins. Code § 1301.0053EXCLUSIVE PROVIDER BENEFIT PLANS: EMERGENCY CARE.Printed as Sections 1301.0052, 1301.0053, 1301.155, 1301.164, and 1301.165
- Tex. Ins. Code § 1301.155EMERGENCY CARE.Printed as Sections 1301.0052, 1301.0053, 1301.155, 1301.164, and 1301.165
- Tex. Ins. Code § 1301.164OUT-OF-NETWORK FACILITY-BASED PROVIDERS.Printed as Sections 1301.0052, 1301.0053, 1301.155, 1301.164, and 1301.165
- Tex. Ins. Code § 1301.165OUT-OF-NETWORK DIAGNOSTIC IMAGING PROVIDER OR LABORATORY SERVICE PROVIDER.Printed as Sections 1301.0052, 1301.0053, 1301.155, 1301.164, and 1301.165
Procedural information only. Not legal advice and not a substitute for the advice of an attorney. Confirm the current text with the official publisher before relying on it.